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Discussion on Iodine injections
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Member:
redback
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Posted on Friday, Nov 16, 2007 - 4:47 am:
Hi Dr O.
I did ask a question recently about this. But I'd like to ask again. I have two vets now indicating two different things here. Vet One went ahead and injected. Vet two is now doubting wisdom of this as horse is very sensitive in near side stifle, is running away from it and has developed a very tight up rear action. Vet two wants to now inject stifle with cortisone. Is that bad as you list it as a contradiction. Vet will do this tomorrow. What do I do?
Regards
Geoff
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Moderator:
DrO
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Posted on Friday, Nov 16, 2007 - 7:33 am:
Hello Geoff,
The use of the steroid depends:
- If the horse still has upward fixation problems and you hope the iodine will fix it the steroid should not be used as it may limit the fibrosis the iodine is hoped to create in the ligament to make it less prone to sticking.
- If the horse has acute inflammation in a joint the use of a steroid would be logical.
Unfortunately I cannot tell which of the two situations you might be faced with but often the worse thing to do in a raging river and you are confused is to try and change directions suddenly. A middle position you might discuss with your veterinarians be to try a course of oral bute.
DrO
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Member:
redback
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Posted on Friday, Nov 16, 2007 - 3:16 pm:
Thanks Dr O. I will discuss this today and will let you know the outcome.
Regards
Geoff
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Member:
mike29az
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Posted on Friday, Nov 16, 2007 - 7:00 pm:
Hi Geoff,
I can't be much help other than I race standardbreds as well and my vet also will inject McKays into the muscle around the stifle. They have always made sure the horse gets out in a paddock after the injection or jogged slowly so it will not swell or get sore. So far I have not had any bad reactions and it has always seemed to help for a sore stifle. However UFP I have never had. I did have a friend with that problem and the horse had some sort of surgery that worked for the problem. Dr. O probably knows what the surgery is but it did help his horse if that is the problem. I will also say that it was quite obvious when the horse locked its stifle and it wasn't with every stride.....best of luck I hope your horse gets back to racing sound.
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Member:
redback
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Posted on Saturday, Nov 17, 2007 - 5:48 am:
Hi Mike, Dr O and Friends:
Big conference today with vet two. Xray of near side stifle clear, as expected. Then big discussion what to do next. Last week I had used my infrasound machine on the stifle and she was very unhappy with me and would not allow me to treat it without someone lifting her foreleg to stop her from kicking out. The trainer had treated her twice during the week. Today she let me do it and only got a bit cranky on one point which she accepted after a short time of gradual treatment.
That left me feeling that really what we were looking at was inflamation of a blistered area, as you would expect. Tracking back the sequence of events, with the trainer, she had her race two weeks ago and had treatment eight days before that without proper exercise immediately after the treatment. So we decided to put her on a low level 10 day oral treatment of Bute. 10 days off bute to clear system, and then a race. If that doesn't work we will spell her. We felt that maybe we had just not handled the post treatment situation well and that we were being a bit quick to jump in. So both pieces of advice here was very useful. Given that we had two vets one pro iodine and one anti iodine.
I'll let all know how we go in about 20 days.
Thanks again.
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Member:
mike29az
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Posted on Saturday, Nov 17, 2007 - 8:29 am:
Good luck - hope you have good news to report 
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